If toothache is a real pain for us humans, imagine what ‘tuskache’ is like for elephants? No imagining required for the elephant in Columbia which had been suffering from a cracked tusk for two years. Thankfully, over a hundred people rallied round to raise the US$8,500 required to fund the cost of an operation to fix the tusk of Tantor, an African elephant which has been living in a zoo in the city of Barranquilla ever since it was rescued from a ranch run by criminals in 1991. Treating a patient that weighs 5 tonnes brings out the true meaning of the word operation however. As well as taking 30 people to repair the damage to Tantor’s tusk, a road outside the zoo had to be closed so that a crane could be installed just in case the elephant needed to be lifted during the procedure. It took three hours, but the root canal surgery was a success, much to the relief of all those involved. None more so than Tantor who had been living with the cracked tusk for two years due to delays in obtaining a special anaesthetic that is suitable to be used on large animals and the need to design and build bespoke equipment to carry out the operation. Bet Tantor was grateful that the elephant in the room had finally been dealt with.